CORDIA MARIE CLARK-WHITE MD
NPI 1861676538
Obstetrics & Gynecology in Chicago, IL

Q: What is Cordia Clark-white's NPI number?

The NPI number for Cordia Clark-white is 1861676538. It was assigned to this individual provider in the NPPES registry on December 18, 2007. The provider is also known as Cordia Marie White.

Q: What is Cordia Clark-white's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since December 18, 2007PECOS Enrolled

1645 W JACKSON BLVD STE 310, CHICAGO, IL 60612(312) 942-8060(312) 942-8222 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2021, Jun 29, 2016 (2 updates tracked since 2016).

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About Cordia Marie Clark-white Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORDIA MARIE CLARK-WHITE MD (NPI 1861676538) is an individual obstetrics & gynecology provider in Chicago, Illinois, licensed in Illinois (036-119447) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1861676538

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameCORDIA MARIE CLARK-WHITECredential: MD

Location Address1645 W JACKSON BLVD STE 310Chicago, IL 60612-3227

Mailing Address3473 S King Dr # 472Chicago, IL 60616-4108 · (708) 207-3639

Phone(312) 942-8060

Fax(312) 942-8222

Sole ProprietorNo

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2003

Enumeration DateDecember 18, 2007

Last NPPES UpdateApril 29, 20212 updates tracked since enumeration

NPPES CertifiedApril 29, 2021

✔ NPI 1861676538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 036-119447

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1645 W JACKSON BLVD STE 310, Chicago, IL 60612

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Other Names 1

Former Name (1)Cordia Marie White

Secondary Practice Location 1

Location 12600 S Michigan Ave Ste 305Chicago, IL 60616-2857 · Phone (312) 326-1792

Other Identifiers 2

Medicaid036119447IL

Other1619478IL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cordia Marie Clark-white Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466536214

PECOS Enrollment IDI20080303000711

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Cordia Clark-white reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rush University Medical Center

0.2 mi

Diagnostic Radiology

1620 W HARRISON ST
Chicago, IL 60612

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Rush University Medical Group
2,169 clinicians in this Medicare group

NPI 1184269425 (312) 563-4270

Cordia M. Clark-White, MD, Ltd

3.2 mi

Obstetrics & Gynecology

2600 S MICHIGAN AVE, SUITE 305
Chicago, IL 60616

Reassigned Medicare billing, Illinois enrollment

NPI 1255889622 (312) 326-1792

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rush University Medical Center

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140119

Location1653 West Congress ParkwayChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SADIA HAIDER MD

Obstetrics & Gynecology